MEDICARE: DR. ELLEN S. ARONOFF D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	X7293	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	5802272	OTHER		GHI

General Provider Information

NPI Number	:	1669539680
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ELLEN S. ARONOFF D.C.

Provider Business Mailing Address
First Line	:	PO BOX 460
Second Line	:
City	:	BAYSIDE
State	:	NY
Zip	:	11361-0460
Country	:	US
Telephone Number	:	718-631-0195
Fax Number	:	718-264-0343

Provider Business Practice Location Address
First Line	:	3434 BELL BLVD
Second Line	:
City	:	BAYSIDE
State	:	NY
Zip	:	11361-1730
Country	:	US
Telephone Number	:	718-631-0195
Fax Number	:	718-264-0343

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/02/2007
Last Update Date	:	07/08/2007

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